Selfies help

Two women taking a selfie.

As physicians, we hear it time and time again – “By the time I came in to see you, my rash disappeared!” Well, no longer. More and more patients come into our clinic, showing us photos of their skin ailment on their mobile devices taken over a few days or even weeks at a time. This activity is extremely helpful in making a more precise diagnosis.

A recent example of how your photos can assist us is in the case of a young woman from Montreal, Quebec, Canada. She had a few little red marks here and there, but nothing compared to the way the area looked in the selfie she showed me from a week prior.

Due largely to her photo, we were able to determine she had a more serious form of Rosacea – Granulomatous Rosacea, which requires us to treat the mites heavily infecting the skin (possibly causing scarring). Thankfully, there’s a new topical agent that helps with this condition called Ivermectin. I have used one oral dose of Ivermectin over the years very successfully to treat this type of Rosacea.

Kudos to all of you who take photographs of yourselves and bring them to your dermatologist!

Happy Holidays!

Dr. Levy

FAQ - Frequently Asked Questions

How can selfies help my dermatologist diagnose a skin rash?
Selfies taken over several days let your dermatologist see how a rash or skin condition has changed over time. These skin photos can reveal patterns, severity, and triggers that may not be visible during a single in‑office visit.
Yes, taking clear photos of your skin before your dermatology appointment is very helpful. Bringing these images on your phone can improve diagnostic accuracy, especially if the rash has faded or changed by the time you’re seen.
A well-lit selfie can show the full extent of redness, bumps, and flare patterns typical of rosacea and granulomatous rosacea. These details help your dermatologist choose the right rosacea treatment, including topical or oral medications.
Take sharp, close-up photos in good natural light, and include a few wider shots to show the full affected area. Photograph the rash or lesions over several days or weeks so your dermatologist can see how the skin condition evolves.
Topical Ivermectin is a newer treatment that can help granulomatous rosacea by targeting skin mites and inflammation. Your dermatologist will decide if topical or oral Ivermectin is appropriate based on your specific rosacea symptoms and severity.

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